STATEMENT OF PURPOSE
RS27921 / H0616
This legislation transfers the responsibilities for the health care directive registry from the Secretary of State to
the Department of Health and Welfare, including the existing records, and directs the Department to make the
registry available 24-hours-a-day, seven days a week.
FISCAL NOTE
The cost to design, build, and implement an interoperable advanced care directive database system in the
Department of Health and Welfare is estimated to be $351,300 one-time. The design and buildout can be funded
at a 90% federal share using HITECH funds and 10% state match. Personnel costs to operate the registry and
on-going software licenses/maintenance fees may also use federal matching dollars and state funds for on-going
expenses at a 75/25 fund split.
General Federal
FY2021 Fund Funds Total Funds
One-time $35,130 $316,170 $351,300
FY2022
On-going $38,300 $114,900 $153,200
Once operational, the Department will determine if a fee – already allowed in statute – will be assessed in order
to provide standardized enrollment materials and statewide training for providers to help Idahoans include their
directives in the statewide registry.
Contact:
Senator Steve Bair
(208) 332-1000
Brian Whitlock
Idaho Hospital Association
(208) 489-1400
DISCLAIMER: This statement of purpose and fiscal note are a mere attachment to this bill and prepared by a proponent
of the bill. It is neither intended as an expression of legislative intent nor intended for any use outside of the legislative
process, including judicial review (Joint Rule 18).
Statement of Purpose / Fiscal Note Bill SOP/FN INTRODUCED: 03/09/2020, 9:31 AM


Statutes affected:
Bill Text: 39-4510, 39-4514, 39-4515, 74-106